| NPI | 1447080551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID LERNER President 631-385-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |